1115 Waiver Demonstration - Rhode Island Comprehensive extension application


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On December 22, 2022, Rhode Island submitted a five-year extension request for its Medicaid section 1115(a) demonstration entitled the “Rhode Island Comprehensive Demonstration” (“the Demonstration”) to be effective January 1, 2024 through December 31, 2028. The Demonstration has been in place since 2009 with the foundational principles of paying for value over volume; coordinating physical, behavioral, and long-term healthcare; rebalancing the delivery system away from high-cost settings, and promoting efficiency, transparency, and flexibility. Rhode Island’s entire Medicaid program is operated under the Demonstration. The Demonstration offers a complete array of services, including medical, behavioral health, and Home and Community-Based Services (HCBS) to multiple eligibility groups. This Demonstration extension aims to continue to build upon the Demonstration’s foundational aims of equity and access while implementing new focused enhancements targeted at behavioral health, social determinants of health, and long-term services and supports; for example expanding the Demonstration’s home stabilization services. The state is requesting new expenditure authority to provide outreach and pre-release services to the justice-involved population, a restorative and recuperative care pilot, and authority for parents of disabled children to act as service providers. The state has also utilized this extension application to request a number of administrative enhancements to the waiver that will promote efficiency, transparency, and flexibility. The federal comment period for this application will be open from January 6, 2023 through February 5, 2023.

Pending Application

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